Algorithm of the current management of acute bleeding from ruptured esophageal varices. *Self-expandable esophageal metallic stent may represent an alternative to balloon tamponade in this situation. **Preferably TIPS with PTFE-covered stents (from reference , with permission).
Therapeutic endoscopy for esophageal varicies is considered the mainstay of urgent treatment. Two main therapeutic approaches exist: Variceal ligation, or banding. Sclerotherapy. In cases of refractory bleeding, balloon tamponade with Sengstaken-Blakemore tube may be necessary
Bleeding Esophageal Varices . Hemorrhage from esophageal varices is a severe complication of cirrhosis with portal hypertension. After band ligation, the patient's condition stabilized, with no further bleeding.